Lone Peak Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Lone Peak Hospital, Draper, UT in 2024, from traditional Medicare claims. Back to the Lone Peak Hospital profile, with quality ratings, finances and negotiated rates.
131
Medicare inpatient discharges
In 8 published DRGs
2.03
Case mix index
IPPS FY 2027
40%
Surgical stays
50%
Stays with complications
In DRGs with a CC or MCC
549
Medicare outpatient services
In 11 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue52 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 16 | $133,295 | $11,401 | $19,328 | 1.88 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 13 | $217,917 | $27,487 | $31,598 | 4.61 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 12 | $144,060 | $14,989 | $20,889 | 2.67 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 11 | $189,883 | $26,455 | $27,533 | 3.66 |
Infectious and parasitic diseases40 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 27 | $66,257 | $10,567 | $9,607 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $50,699 | $4,436 | $7,351 | 1.03 |
Circulatory system20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 20 | $48,191 | $6,734 | $6,988 | 1.28 |
Respiratory system19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 19 | $44,443 | $6,209 | $6,444 | 1.33 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 218 | 188 | $109,095 | $9,724 | $10,772 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 80 | 80 | $177,567 | $14,651 | $15,763 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 69 | 67 | $52,002 | $5,106 | $5,339 |
| Comprehensive Observation ServicesAPC 8011 | 51 | 51 | $33,027 | $1,954 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 39 | 38 | $14,121 | $1,119 | $1,220 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 20 | 20 | $225,347 | $26,104 | $26,719 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 15 | $27,596 | $2,166 | $2,373 |
| Level 5 Urology and Related ServicesAPC 5375 | 16 | 15 | $57,875 | $3,693 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 15 | 15 | $11,244 | $1,147 | $1,196 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $71,325 | $7,584 | $8,164 |
| Level 1 Nerve ProceduresAPC 5431 | 12 | $60,970 | $1,367 | $1,407 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.